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원저 : 비만 여성의 복부지방 분포에 영향을 주는 요인
김양현 ( Yang Hyun Kim ),오상우 ( Sang Woo Ou ),김영성 ( Young Sung Kim ),전중한 ( Jung Han Chun ),양윤준 ( Yoon John Yang ),윤영숙 ( Yeong Sook Yoon ),이언숙 ( Eon Sook Lee ) 대한비만학회 2005 The Korean journal of obesity Vol.14 No.1
연구배경: 복부비만은 2형 당뇨병과 고지혈증, 고혈압, 관상동맥질환 등의 심혈관계 질환의 주요 위험인자이며 특히 내장형 복부 비만인 경우 위험도가 더 크다고 알려져 있다. 복부지방 중 피하지방과 내장지방의 분포가 이러한 질병에 미치는 영향이 달라 이와 관련된 단순비만지표 및 체력요인과의 상관성, 그리고 복부지방 분포에 영향을 주는 요인들에 대해 알아보고자 이 연구를 시행하였다. 방법: 2001년 1월부터 2001년 12월까지 일개 대학병원 비만 클리닉을 Background: Abdominal obesity, especially, visceral obesity is thought to be a risk factor of type 2 diabetes and cardiovascular disease such as hypertension, hyperlipidemia, coronary artery disease. Based on previous studies visceral fat accumulation is
폐결핵 환자에서 Gallium - 67 Scan 의 진단적 가치
이승걸(Seoung Gul Lee),김영성(Yeong Sung Kim),성이경(Yi Gyeong Seong),조용근(Yong Keun Cho),박형근(Hyung Geun Park),오용구(Yong Gu Oh),조인묵(In Mook Cho) 대한내과학회 1992 대한내과학회지 Vol.43 No.5
N/A Backgrond: For the evaluation of the activity of pulmonary tuberculosis, chest radiographs and sputum acid-fast bacili examination have been used, but their sensitivity and specificity are far from satisfaction. Using the property of Gallium accumulation in sites of active pulmonary tuberculosis, we could estimate whether the lesion was active or not. Methods: 30 patients with pulmonary tuberculosis had been analized for their activity using chest radiographs, sputum acid-fast bacili examination and Gallium scan. And then had compared with their sensitivity each other. Results: In 14 patients with active pulmonary tuberculosis, the sensitivity of Gallium scan was 85.7%, and false negative rate was 14.3%, but the sensitivity for chest radiograph was 78.6% Conclusion: We can conclude that Gallium scan is more useful for the evaluation of the activity of pulmonary tuberculosis than chest radiograph.
증례 : 대장내시경으로 제거된 S상 결장에 감입된 이쑤시개 1예
박진일 ( Jin Il Park ),엄성현 ( Sung Hyeon Eum ),김철연 ( Cheul Yeon Kim ),윤지환 ( Ji Hwan Yoon ),황홍석 ( Hong Seok Hwang ),김영성 ( Yeong Sung Kim ),곽동협 ( Dong Hyup Kwak ) 대한내과학회 2006 대한내과학회지 Vol.71 No.6
저자들은 급성 복증으로 오인되어 충수돌기제거술을 받고 난 후 재발된 하복부 동통을 호소한 환자에서 대장 내시경상 S상 결장 내에 감입되어 국소 농양을 형성하고 있는 이쑤시개를 발견하여 내시경적으로 제거하였던 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Most ingested foreign bodies spontaneously pass through the upper and lower intestinal tract. The impaction of an ingested foreign body in the colon is rare. Foreign bodies swallowed inadvertently often cause serious complications, such as perforation, obstruction, abscess formation, enterocolic fistula, or hemorrhage. Physicians should proceed with routine medical care while considering the possibility of the ingestion of a foreign body In cases where abdominal pain of an unknown origin is observed, particularly in elderly patients who wear dentures, alcoholics, mentally disturbed, or rapid eating, and presenting with altered bowel habits. We report a case of a colonoscopically-removed wooden toothpick that impacted the sigmoid colon and was complicated by the formation of a local abscess with a review of the literature. (Korean J Med 71:668-672, 2006)
증례 : 스테로이드로 치료한 특발성 호산구성 담낭염 1예
강현준 ( Hyun Jun Kang ),최민호 ( Min Ho Choi ),김호태 ( Ho Tae Kim ),곽태영 ( Tae Yeong Kwak ),이현철 ( Hyun Chaol Lee ),김영성 ( Yeong Sung Kim ),곽동협 ( Dong Hyup Kwak ) 대한내과학회 2012 대한내과학회지 Vol.83 No.3
호산구성 담낭염은 일반적인 담낭염과 증상 및 검사 소견에서 명확히 구분되지 않아 대부분 담낭 절제술로 진단과 치료가 동시에 이루어진다. 하지만 본 증례처럼 특별한 호산구 증가증의 원인이 없는 호산구성 담낭염이 의심되면 담낭천공, 패혈증 등의 응급 수술을 요하는 경우를 제외하고 담낭 절제술에 앞서 스테로이드 사용을 신중히 고려해 볼 수 있겠다. Eosinophilic cholecystitis is a rare disease characterized by transmural leukocyte infiltration composed of more than 90% eosinophils. Eosinophilic cholecystitis is clinically indistinguishable from ordinary cholecystitis, and as a rule it leads to cholecystectomy. We report a case of idiopathic eosinophilic cholecystitis treated with steroids. A 75-year-old woman presented with a classic history of acute cholecystitis and a peripheral eosinophilia of 41.8%. There was no evidence of allergy or parasitic infestation. An abdominal ultrasonography and computed tomography (CT) scan showed an edematous, thickened gallbladder wall, but no gallstones. There was no evidence of eosinophilic infiltration in other organs. Cholecystectomy was not performed because the patient refused surgical management. However, fever, abdominal pain, and peripheral eosinophilia persisted despite antibiotic and conservative therapy. Therefore, we attempted treatment with prednisolone. A week later, the symptoms disappeared and the peripheral eosinophilia normalized.
엄석현 ( Seok Hyeon Eom ),박창환 ( Chang Hwan Park ),정덕원 ( Duk Won Chung ),이상혁 ( Sang Hyeok Lee ),서지영 ( Ji Young Seo ),김영성 ( Yeong Sung Kim ),곽동협 ( Dong Hyup Kwak ),김정희 ( Jung Hee Kim ) 영남대학교 의과대학 2016 Yeungnam University Journal of Medicine Vol.33 No.2
Heterotopic bone formation in the gastrointestinal tract is a rare phenomenon. Most reported cases were associated with benign and malignant neoplasms, except for a case in which heterotopic bone formation was found in a patient with Barrett`s esophagus. The exact pathogenesis of the disease has not yet been established. However, most heterotopic bones found in the gastrointestinal tract were associated with mucinproducing tumors of the appendix, colon, and rectum. Inflammation may also play a role in osseous metaplasia in a case with bone formation at the base of an ulcer in Barrett`s esophagus. Here, we report on a patient with heterotopic bone formation in normal gastric cardiac mucosa. A 50-year-old female visited our hospital for a routine health examination. She had no gastrointestinal symptoms, and her physical examination, blood test, X-ray, urine, and stool examination results were normal. A 0.3 cm sized polypoid lesion located just below the squamocolumnar junction was observed on upper gastrointestinal endoscopy. A piece of biopsy was taken. Histologically, a lamella bone trabecula and chronic inflammatory cells were observed in the gastric cardiac mucosa. The follow-up endoscopy performed one month later showed no residual lesion.
원위부 총담관 결석으로 오인된 결석을 동반한 총담관류 치료
곽태영 ( Tae Young Kwak ),박창환 ( Chang Hwan Park ),엄석현 ( Seok Hyeon Eom ),황홍석 ( Hong Suk Hwang ),정덕원 ( Duk Won Chung ),서지영 ( Ji Young Seo ),김영성 ( Yeong Sung Kim ),곽동협 ( Dong Hyup Kwak ) 영남대학교 의과대학 2015 Yeungnam University Journal of Medicine Vol.32 No.1
A choledochocele is an expanded sac of the duodenal side of the distal common bile duct (CBD), and is categorized as a type III choledochal cyst. Unlike other choledochal cysts, it can be easily overlooked because of its very low prevalence, non-specific clinical symptoms, and lack of distinctive radiological findings. However, a patient having a repeated pancreaticobiliary disorder with an unknown origin, frequent abdominal pain after cholecystectomy, or repeated non-specific gastrointestinal symptoms can be suspected as having a choledochocele, and a more accurate diagnosis can be achieved via endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound. Because it rarely becomes malignant, a choledochocele can be treated via endoscopic sphincterotomy (EST) and surgical treatment. The authors were able to diagnose choledochocele accompanied by a stone in a patient admitted to the authors’ hospital due to cholangitis and pancreatitis. The patient``s condition was suspected to have been caused by a distal CBD stone detected via multiple detector computed tomography and ERCP, and was successfully treated via EST.
金永聲 충남대학교 미국학연구소 1976 美國學論文集 Vol.1 No.-
A sudden and unprecedented phenomenon is threatening our society today. It seems to be an urgent and serious matter which should not be overlooked as something transitional. This is closely related to the present social structure. The problems of youth, such as their loss of direction, delinquency, the feeling of dejection, etc. are not only exposure of the general social problems but also the sideeffects resulting from deindustrialization. The question of such problems first effected the need for this study, and the first objective of this essay is to investigate the youth culture in the United States through its typical social structure. It is apparent that the leading part of the American youth culture is the young intellectuals among the college students, and the second objective of this essay is to study the cultural relation and the function of the American universities. The third objective of this essay is to look into the inter-relationship between student power and politics in the democratic society. The result is a grasp into the political logic of the mental structure of the college students. Today the radical students in the United States are critical of the small democracy and advocate participatory democracy. This can be interpreted as a revolt against accomodation of reality under the changing circumstances. At any rate, the American youth culture regards a strict rule and a traditional convention to be the impediments to the unity of the American people, and it maintains that ideology has come to an end. Thus the young people think that ideology renders the people obstinate, seperates the people into hostile groups, and they further regard ideology as an obstacle to the looseness needed for the unity of the people. Their logic is that the Americans are slaughtering the Vietnamese in order to force them into the American way of life. In other words, the Americans are committing murder for the sake of their ideology.